High School Retreat Registration Personal InformationName* First Last Retreat Date*Which retreat will you attend?November 13 - 15 (High School)November 20 - 22 (High School Freshmen)March 19 - 21 (High School)Cell Phone NumberPhone Number of Parent (emergency use only)*Student Email Address* Parent Email Address* EducationSchool*Year in School*FreshmanSophomoreJuniorSeniorMiscellaneousDo you need a ride to the retreat and back?*We will have a van driving from Sauganash to the retreat and back.YesNoReference*Who recommended this retreat to you?Payment*The full cost of the retreat is $125.I plan to pay online nowI plan to send in a checkI plan to pay at the retreatCommentsPlease include any medical or dietary needs.
